| NPI | 1386604916 |
|---|---|
| Former Name | CHRISTINE MARIE GUTIERREZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: NJ 25MP00271300) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NY 009417) |
| Enumeration Date | 2006-03-27 |
| Last Update Date | 2014-09-15 |